全民健保改革的分級醫療何去何從?【本期企劃】 試閱
Where is the Future of Taiwan National Health Insurance’s Tiered Medical Care System Heading?
臺灣全民健康保險（下稱健保）制度以低成本創造臺灣醫療奇蹟，卻使醫療人員有嚴重的被剝奪感，醫護人員出現出走潮，也走入街頭示威抗議，又有遠距醫療相逼，臺灣醫療改革已經迫在眉梢。臺灣健保改革並非無方，只要能落實「分級醫療」與「醫藥分業」才能重新在基層、地區、區域與醫學中心間以及醫、藥間之資源做合理分配；而透過「使用者付費的部分負擔」才能落實家醫制與避免不必要之就診醫療。
Taiwan’s National Health Insurance (NHI) system has created a wonderful low-cost medical service system, a so called Taiwan’s medical miracle. But the miracle is due to the exhausting work of the medical staff. But it leaves medical staff with a strong sense of deprivation. There was a wave of exodus of medical staff and they also took to the streets to demonstrate and protest. Taiwan’s NHI reform is not without solutions, as long as it can implement “Tiered Medical Care System”, “separation of the Dispensing from medical Practice” resources can be rationally redistributed between basic, regional, regional, and medical centers, as well as “copayment” will reduce unnecessary medical resource. The Taiwan’s NHI system can offer the highest quality medical service to our peoples.
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